NCT04377971

Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen

The Effectiveness of the Teach-back Method on Patient Satisfaction and Adherence to Wound Care Regimen After Mohs Micrographic Surgery: A Pilot Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (actual)
• Sponsor: Case Comprehensive Cancer Center · Academic / Other
• Sex: All
• Age: 18 Years – 100 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to examine a different way to educate patients about taking care of their wound and see how this method affects patient satisfaction, compliance to the wound care regimen, and patient experience. The teach-back method is delivered using the ask-tell-ask method. Investigators will ask the patient about their knowledge of wound care healing, provide the patient educational component, then ask the patient to repeat what was said. If the answer is wrong or incomplete, the researcher will go over the information again with the patient to clear up any misunderstandings.

Detailed description

Patients undergoing Mohs Micrographic surgery for skin cancers on the lower extremities for the first time that are left to heal by secondary intention are randomized either to receive a scripted teach-back session or a standard of care wound care education. This study wishes to compare wound care adherence, patient experience, wound complications, and the number of phone calls made by patients to the office between the two cohorts primary objective is to determine whether study participants who have received the teach-back method have an increase wound care adherence at one week post-operatively, compared to those who received the standard of care. To characterize differences in the patient experience between the two interventional groups 2 weeks after surgery. To determine whether the number of phone calls made post-operatively by patients will decrease in a 2 week follow-up time period. To characterize the differences in patient wound care adherence at 2 weeks after surgery. To determine whether there is a difference in complication incidence post-operatively

Conditions

• Keratinocyte Carcinoma

Interventions

Type	Name	Description
BEHAVIORAL	SOC education	Standard participant education from researcher
BEHAVIORAL	Ask-tell-ask education	Participant education using the ask-tell-ask method. First the researcher will ask a question about participant understanding of wound care and after hearing the participant's answer, the researcher will then proceed to tell the patient how to best take care of their wound using a standardized script. After the educational portion, the researcher will then ask the patient to repeat the information that was shared. If the participant's answer is wrong or incomplete, the researcher will then explain the instructions again to ensure that the participant understands the steps needed.
OTHER	Participant satisfaction survey	Participant satisfaction survey using components of the 16 item Skindex questionnaire and the 18 item version Patient Satisfaction Survey, adapted for treatment of skin cancer to characterize patient experience administered at two weeks post-operatively in person
OTHER	Wound care adherence survey	Wound care adherence survey administered at one week over the phone and at two weeks in person

Timeline

• Start date: 2020-11-09
• Primary completion: 2022-07-05
• Completion: 2022-07-05
• First posted: 2020-05-07
• Last updated: 2025-05-02

Locations

1 site across 1 country: United States